Great Road Acupuncture and Herbs LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

GREAT ROAD ACUPUNCTURE AND HERBS LLC

Practice address

75 Great Rd Ste 201
Acton, MA 01720-5678

Phone

(978) 277-8099

NPI assigned

May 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irina I Stojanovic, LIC ACNPI 1225522535

Title

Owner

Phone

(978) 394-9485

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Iva Stojanovic

  • Acupuncturist
  • Acton, MA
  • NPI 1225522535
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1174189666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 HEALD RD",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411418",
            "telephone_number": "978-369-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GREAT RD STE 201",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205678",
            "telephone_number": "978-277-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT ROAD ACUPUNCTURE AND HERBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "STOJANOVIC",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-394-9485",
        "authorized_official_credential": "LIC AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alia Goodheart, M.D.
• Donna M Goodwill, M.S.W., L.I.C.S.W.
• Ingrid Gorman, M.D.
• Alison N Gould, MA
• Shannon Marie Granger
• Great Road Dental Associates,P.C
• Greene Nutrition, LLC
• William Gresser, M.A.
• Zachary Gresser, LMHC
• Stephen H Grossman, DMD

• Acupuncturist in Acton, MA
• Providers in Acton, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.